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Case Reports
Novel approach to the treatment of distal malperfusion secondary to ascending aortic dissection.
- Cyrus J Parsa, Richard L McCann, and G Chad Hughes.
- Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Durham, NC 27710, USA.
- J Card Surg. 2010 Mar 1;25(2):220-2.
AbstractAcute Type A dissection is a surgical emergency. The presence of visceral and extremity malperfusion syndromes increases perioperative mortality twofold. On occasion, significant malperfusion may best be addressed in a staged fashion with preliminary attention to specific vascular beds with delayed repair of the dissection itself. We present a subacute Type A dissection associated with malperfusion of multiple vascular beds (mesenteric, renal, and iliofemoral) managed with a complication-specific approach utilizing endovascular thoracoabdominal aortic repair prior to ascending repair.
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